Individual
BRENT THYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
23625 HOLMAN HWY, MONTEREY, CA 93940-5902
(831) 624-5311
Mailing address
890 MCCLELLAN AVE, MONTEREY, CA 93940-1731
(602) 910-9172
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
169133
CA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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